NPIMap

Organization Active NPI

Arkansas Diagnostic Center

  • Specialist
  • Little Rock, AR
National Provider Identifier
1902849276
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2557 Issued in AR
Legal business name
ARKANSAS DIAGNOSTIC CENTER
Practice address
8907 Kanis Rd
Suite 403
Little Rock, AR 72205-6449
Phone
(501) 217-9382
Fax
(501) 225-2930
NPI assigned
Jun 14, 2006
Last updated
Mar 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Marion York
Title
Office Administrator
Phone
(501) 227-7688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2557 AR Primary

Addresses

Primary practice location

8907 Kanis Rd
Suite 403
Little Rock, AR 72205-6449

Mailing address

8908 Kanis Rd
P.O. Box 55130
Little Rock, AR 72205-6414
Phone (501) 227-7688

Other identifiers 4

IdentifierTypeStateIssuer
010009296OtherARRAILROAD DR WMS
100013053OtherARRAILROAD DR ZILLER
CC6622OtherARRAILORAD MEDICARE
117730002MedicaidAR

National Provider Directory

National Provider Directory

Locations

11904 Kanis Rd
Ste H1
Little Rock, AR 72211
Phone (501) 687-9220

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1902849276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8908 KANIS RD",
            "address_2": "P.O. BOX 55130",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056414",
            "telephone_number": "501-227-7688",
            "fax_number": "501-225-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 KANIS RD",
            "address_2": "SUITE 403",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056449",
            "telephone_number": "501-217-9382",
            "fax_number": "501-225-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "501-227-7688",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "2557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD DR WMS",
            "identifier": "010009296",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD DR ZILLER",
            "identifier": "100013053",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILORAD MEDICARE",
            "identifier": "CC6622",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117730002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.